Shimizu H, Shimoji K, Maruyama Y, Sato Y, Harayama H, Tsubaki T
J Neurol Neurosurg Psychiatry. 1979 Mar;42(3):242-6. doi: 10.1136/jnnp.42.3.242.
Human cord dorsum potential (CDP) was recorded from the posterior epidural space at the levels of cervical and lumbar enlargements, using epidural catheters as the recording electrodes, in 15 normal volunteers and six patients suffering from amyotrophic lateral sclerosis. In normal subjects the CDP elicited by descending volleys consisted of spike potentials followed by sharp negative and slow positive waves which were very similar to the P1, N1, and P2 potentials, respectively, of the CDP evoked segmentally. By contrast, in all patients with amyotrophic lateral sclerosis both the sharp negative and slow positive waves were absent in the CDP elicited by descending volleys, while the pattern of each component of the segmentally evoked CDP remained unchanged. Thus, the sharp negative and slow positive waves of human CDP elicited by descending volleys might reflect the activity of interneurones and primary afferent depolarisation respectively, produced by impulses through the corticospinal tract.
在15名正常志愿者和6名肌萎缩侧索硬化症患者中,使用硬膜外导管作为记录电极,从颈膨大及腰膨大水平的硬膜后间隙记录人脊髓背电位(CDP)。在正常受试者中,下行冲动引发的CDP由锋电位组成,随后分别是尖锐负波和缓慢正波,这与节段性诱发CDP的P1、N1和P2电位非常相似。相比之下,在所有肌萎缩侧索硬化症患者中,下行冲动引发的CDP中尖锐负波和缓慢正波均缺失,而节段性诱发CDP的各成分模式保持不变。因此,下行冲动引发的人CDP的尖锐负波和缓慢正波可能分别反映了中间神经元的活动以及由通过皮质脊髓束的冲动产生的初级传入去极化。